NewLifeatGen.com - Connect Card

Fill out our connect card so we can connect with you and welcome you to Genesis Church.

First Name

Last Name

Spouse's First Name

Spouse's Last Name

Names and Ages of Children

Email

Phone Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Your Age Group

How many times have you visited our church?
First times
Few times
Regular attender

I would like to learn more about (check all that apply)
Baptism
Volunteering
Membership
Jesus

How did you hear about us?

Anything else you would like to share?

Connect Card